Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.27 / $686.51 / $1,660.44	Facility		$283.27	$686.51	$1,660.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $283.27 / $517.62	Professional		$195.87	$283.27	$517.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $482.16 / $1,431.41	Facility		$316.42	$482.16	$1,431.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $588.61 / $2,260.13	Professional		$271.22	$588.61	$2,260.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.50 / $617.02 / $778.13	Facility		$303.50	$617.02	$778.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $318.49 / $426.44	Professional		$143.91	$318.49	$426.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $376.69 / $1,032.18	Facility		$301.35	$376.69	$1,032.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $512.29 / $932.80	Professional		$301.35	$512.29	$932.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $452.03	Facility		$301.35	$301.35	$452.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $527.36 / $904.05	Facility		$301.35	$527.36	$904.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $376.69 / $455.04	Professional		$271.22	$376.69	$455.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $482.16 / $828.71	Facility		$316.42	$482.16	$828.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $586.58 / $700.47	Professional		$333.29	$586.58	$700.47
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $337.51	Professional		$126.57	$126.57	$337.51